Osteoarthritis of the Elbow with Ulnar Neuropathy; Outerbridge-Kashiwagi Procedure through Posteromedial Approach.
10.4055/jkoa.2005.40.2.119
- Author:
In Ho JEON
1
;
Poong Taek KIM
;
Hee Soo KYUNG
;
Chang Wug OH
;
Joo Chul IHN
;
Ji Ho LEE
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Kyungpook National University, Daegu, Korea. ptkim@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Elbow;
Osteoarthritis;
Ulnar nerve;
Posteromedial approach;
OK procedure
- MeSH:
Decompression;
Elbow*;
Female;
Humans;
Male;
Osteoarthritis*;
Range of Motion, Articular;
Spouses;
Ulnar Nerve;
Ulnar Neuropathies*
- From:The Journal of the Korean Orthopaedic Association
2005;40(2):119-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Elbow osteoarthritis with ulnar neuropathy was treated by a modified posteromedial approach, for decompression/transposition of the ulnar nerve and simultaneously with an Outerbridge-Kashiwagi procedure. The clinical result with these operative techniques is reported. MATERIALS AND METHODS: Average age of the patients was 51, which including 9 male and 2 female. There were 8 manual workers and one each of a clerk, a merchant and a house wife. The ulnar neuropathy was evaluated by the McGowan grading; one grade I, 4 grade II and 6 grade III. RESULTS: The ulnar nerve symptoms were relieved in all patients; 3 McGowan grade I, 5 grade II and 3 grade III, postoperatively. The pain subsided in all patients, with the exception of in one. The average range of motion was improved from 22.5-124degrees to 11.5-128.5degrees. CONCLUSION: A modified posteromedial approach is an effective method for both ulnar nerve decompression and the OK procedure, and provides an effective functional outcome.
